Evidence map›Paper›PMID 23151915›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2013

Somatostatin receptor PET in neuroendocrine tumours: 68Ga-DOTA0,Tyr3-octreotide versus 68Ga-DOTA0-lanreotide.

Daniel Putzer, Alexander Kroiss, Dietmar Waitz, Michael Gabriel, Tatjana Traub-Weidinger, Christian Uprimny, Elisabeth von Guggenberg, Clemens Decristoforo, Boris Warwitz, Gerlig Widmann and 1 more

Abstract read
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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. EANM practice guideline for PET/CT imaging in medullary thyroid carcinoma.European journal of nuclear medicine and molecular imaging · 2020
    Guideline
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  5. Clinical relevance ofRadiology and oncology · 2020
    Article
  6. Oncology and therapy · 2020
    Article
  7. Current Status of Theranostics in Jordan.Nuclear medicine and molecular imaging · 2019
    Review
  8. Review
  9. Article
  10. Somatostatin receptor PET ligands - the next generation for clinical practice.American journal of nuclear medicine and molecular imaging · 2018
    Review
  11. Patient-specific dosimetry ofEJNMMI physics · 2017
    Article
  12. Guideline for PET/CT imaging of neuroendocrine neoplasms withEuropean journal of nuclear medicine and molecular imaging · 2017
    Article
  13. Review
  14. Peptide receptor radionuclide therapy (PRRT): clinical significance of re-treatment?European journal of nuclear medicine and molecular imaging · 2015
    Article
  15. Article
  16. Review
  17. Review
  18. Twins in spirit part II: DOTATATE and high-affinity DOTATATE--the clinical experience.European journal of nuclear medicine and molecular imaging · 2014
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Daniel PutzerDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstraße 35, 6020, Innsbruck, Austria. daniel.putzer@i-med.ac.at
Alexander Kroiss
Dietmar Waitz
Michael Gabriel
Tatjana Traub-Weidinger
Christian Uprimny
Elisabeth von Guggenberg
Clemens Decristoforo
Boris Warwitz
Gerlig Widmann
Irene Johanna Virgolini
Innsbruck Medical University · ATMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate the impact of (68)Ga-labelled DOTA(0)-lanreotide ((68)Ga-DOTA-LAN) on the diagnostic assessment of neuroendocrine tumour (NET) patients with low to moderate uptake on planar somatostatin receptor (SSTR) scintigraphy or (68)Ga-labelled DOTA(0),Tyr(3)-octreotide ((68)Ga-DOTA-TOC) positron emission tomography (PET).

methodsFifty-three patients with histologically confirmed NET and clinical signs of progressive disease, who had not qualified for peptide receptor radionuclide therapy (PRRT) on planar SSTR scintigraphy or (68)Ga-DOTA-TOC PET (n = 38) due to lack of tracer uptake, underwent (68)Ga-DOTA-LAN PET to evaluate a treatment option with (90)Y-labelled lanreotide according to the MAURITIUS trial. The included patients received 150 ± 30 MBq of each radiopharmaceutical intravenously. PET scans were acquired 60-90 min after intravenous bolus injection. Image results from both PET scans were compared head to head, focusing on the intensity of tracer uptake in terms of treatment decision. CT was used for morphologic correlation of tumour lesions. To further evaluate the binding affinities of each tracer, quantitative and qualitative values were calculated for target lesions.

results(68)Ga-DOTA-LAN and (68)Ga-DOTA-TOC both showed equivalent findings in 24/38 patients when fused PET/CT images were interpreted. The sensitivity, specificity and accuracy of (68)Ga-DOTA-LAN in comparison to CT were 0.63, 0.5 and 0.62 (n = 53; p < 0.0001) and for (68)Ga-DOTA-TOC in comparison to CT 0.78, 0.5 and 0.76 (n = 38; p < 0.013), respectively. (68)Ga-DOTA-TOC showed a significantly higher maximum standardized uptake value (SUV(max)) regarding the primary tumour in 25 patients (p < 0.003) and regarding the liver in 30 patients (p < 0.009) compared to (68)Ga-DOTA-LAN. Corresponding values of both PET scans for tumour and liver did not show any significant correlation. (68)Ga-DOTA-TOC revealed more tumour sites than (68)Ga-DOTA-LAN (106 vs 53). The tumour to background ratios for tumour and liver calculated from SUV(max) measurements were significantly higher for (68)Ga-DOTA-TOC than (68)Ga-DOTA-LAN (p < 0.02).

conclusion(68)Ga-DOTA-TOC PET imaging is an established imaging procedure for accurate staging of NET patients. (68)Ga-DOTA-LAN should only be considered as a PET tracer of second choice in patients with no pathologic tracer uptake on (68)Ga-DOTA-TOC PET. In these patients, (68)Ga-DOTA-LAN PET can provide valuable information when evaluating PRRT as the treatment option, as a broader spectrum of human SSTR subtypes can be detected.

Indexed as

Heterocyclic Compounds, 1-RingOrganometallic CompoundsPeptides, CyclicAdultAgedAged, 80 and overBiological TransportFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedNeuroendocrine TumorsOctreotidePositron-Emission TomographyReceptors, Somatostatin68Ga-octreotide, DOTA(0)-Tyr(3)-gallium 68-DOTA-lanreotideHeterocyclic Compounds, 1-RingOctreotideOrganometallic CompoundsPeptides, CyclicReceptors, SomatostatinSomatostatin

Identifiers

PMID23151915
OpenAlexW2033480787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.